An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This amendment proposes additional supplemental payments to New York City's Health and Hospitals for inpatient services through March 31, 2018.
Summary: This State Plan Amendment amends the Community First Choice Option conflict of interest (COI) language invoking the geographical exemption to the COI requirements.
Summary: The SPA proposes to carve out the administration of the Long-Acting Reversible Contraceptive (LARC) from the APG reimbursement methodology when it is provided on the same Date of Service (DOS) as an abortion.
Summary: This amendment proposes to continue reimbursement for Medicaid's portion of a provider tax on nursing home gross receipts and maintain various cost containment measures that otherwise would have expired.
Summary: This amendment proposes to limit the trend factor for inpatient hospital services to an amount no greater than zero for services provided on and after April 1,2017 through March 31, 2019.
Summary: The SPA proposes to continue the elimination of the trend factor for non-institutional services, for the periods April 1,2015 through March 31, 2017.
